Student Clearance / Leavers Form

As part of the process for a student to leave Adelaide Botanic High School, the following is required:

Student ID card must be returned to Student Services on the last day the student is at school
Outstanding resources must be returned to the Resource Centre
Laptop and Charger to be taken to ICT in order to remove school specific ICT policies/restrictions
Any outstanding due/overdue payments to be finalised

Student First Name *

Student Last Name *

Student Date of Birth *

Student Age: *

Last day of school at ABHS: *

Student ID Number *

Connect Group *

Connect Teacher *

Reason for Leaving *

Transferring to a Government (Public) school in SATransferring to a Non-Government (Independent) school in SAPaid employment in SAApprenticeship in SAUniversity in SATAFE in SAOther training institute in SASeeking employment in SAMoving InterstateMoving OverseasOther

If transferring to another school in SA, please provide name of new school (this information is legally required to arrange the official transfer process): *

If Paid employment in SA, please advise type of work and name of employer *

If Apprenticeship in SA, please advise type of work and employer: *

If University in SA, please give details of University and course: *

If TAFE in SA, please advise details of TAFE and course: *

If Other training institute in SA, please give details: *

If Moving Interstate, please advise where....and which school transferring to (if applicable) *

If Moving Overseas, please advise where....and which school transferring to (if applicable) *

If OTHER, please provide details: *

Any other comments

Parent First Name *

Parent Last Name *

Parent email address *

Student Email Address (not @schools.sa.edu.au): *

Family mailing address for any future correspondence: *

Parent / Guardian signature *

Draw signature|Type signatureClear

Please wait, files are uploading..